Coronary arterial spasm in single coronary artery.
A 48-year-old man developed severe chest pain and became unconscious. Coronary cineangiography revealed single coronary artery of the type L2b by Sharbaugh and White. Ergonovine, 0.2 mg i.v., produced coronary arterial spasm in the right coronary artery. This case suggests that coronary arterial spasm might be a cause of sudden death in patients with single coronary artery. However, an association of single coronary artery and coronary arterial spasm might be coincidental.
D017023:Coronary Angiography; D003329:Coronary Vasospasm / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy; D004110:Diltiazem / Q000627:therapeutic use; D004562:Electrocardiography; D004874:Ergonovine / Q000494:pharmacology; D006801:Humans; D007548:Isosorbide Dinitrate / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D005996:Nitroglycerin / Q000627:therapeutic use; D010146:Pain / Q000209:etiology; D013909:Thorax / Q000503:physiopathology
D004110:Diltiazem; D005996:Nitroglycerin; D007548:Isosorbide Dinitrate; D004874:Ergonovine